دورية أكاديمية
أعرض في EDS

Stroke in the state of Alagoas, Brazil: a descriptive analysis of a northeastern scenario.

التفاصيل البيبلوغرافية
العنوان: Stroke in the state of Alagoas, Brazil: a descriptive analysis of a northeastern scenario.
المؤلفون: Rocha LJA; Universidade Federal de Alagoas, Faculdade de Medicina, Maceió AL, Brazil., Silva KAD; Universidade Federal de Alagoas, Faculdade de Medicina, Maceió AL, Brazil., Chagas AL; Universidade Federal de Alagoas, Faculdade de Medicina, Maceió AL, Brazil., Veras AO; Universidade Federal de Alagoas, Faculdade de Medicina, Maceió AL, Brazil., Souto VGL; Universidade Federal de Alagoas, Faculdade de Medicina, Maceió AL, Brazil., Valente MCMB; Universidade Estadual de Ciências da Saúde de Alagoas, Maceió AL, Brazil., Baggio JAO; Universidade Federal de Alagoas, Curso de Medicina, Arapiraca AL, Brazil.
المصدر: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2022 Jun; Vol. 80 (6), pp. 550-556.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Thieme Country of Publication: Germany NLM ID: 0125444 Publication Model: Print Cited Medium: Internet ISSN: 1678-4227 (Electronic) Linking ISSN: 0004282X NLM ISO Abbreviation: Arq Neuropsiquiatr Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Stuttgart] : Thieme
Original Publication: São Paulo.
مواضيع طبية MeSH: Hypertension*/complications , Stroke*/epidemiology , Stroke*/etiology , Stroke*/therapy, Brazil/epidemiology ; Female ; Hospitals ; Humans ; Male ; Middle Aged ; Risk Factors
مستخلص: Background: There is little information available on stroke epidemiology in the northeast of Brazil.
Objective: Our objective was to investigate the prevalence of the stroke subtypes, prevalence of cerebrovascular risk factors and patterns of management in a public neurovascular outpatient referral service, in Alagoas.
Methods: Data were prospectively collected from consecutive patients with stroke who were treated in a specialized neurovascular clinic between November 2016 and June 2018. Recurrence was evaluated by telephone 12 months after patients had been included in the study.
Results: We evaluated 190 patients (mean age, 60.22 ( 13.29 years; 60.5% males). Ischemic stroke was the most frequent subtype (85.2%). Sedentary lifestyle was the most common risk factor (71.6%), followed by hypertension (62.6%) and stroke family history (41.1%). Only 21.5% of the patients were transported by ambulance to the hospital, and 42.6% received medical support in hospital units or emergency units with no imaging support. The median NIHSS was 2.5 (IQR, 1-5) and mRS was 2 (IQR, 1-3). We found a high rate of undetermined stroke (35.8%), and few patients completed the etiological investigation. One year after inclusion in the study, 12 patients (6.3%) had died and 14 (7.3%) had had another stroke.
Conclusions: The prevalence of cerebrovascular risk factors and clinical presentation were similar to what had been seen in previous series. A notable number of patients received medical support in institutions with no imaging equipment. The high number of cases of undetermined stroke etiology shows the difficulty in accessing healthcare services in Alagoas.
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تواريخ الأحداث: Date Created: 20220810 Date Completed: 20220811 Latest Revision: 20221209
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9387186
DOI: 10.1590/0004-282X-ANP-2021-0194
PMID: 35946709
قاعدة البيانات: MEDLINE
الوصف
تدمد:1678-4227
DOI:10.1590/0004-282X-ANP-2021-0194